Modern Breast Augmentation: Dr. Daniel Gould Featured in Allure

Beverly Hills plastic surgeon Dr. Daniel Gould, MD, PhD was featured in Allure discussing how modern breast augmentation is evolving to address common concerns such as implant pain, animation deformity, unnatural movement, and long-term implant support.

As patient preferences shift toward more natural-looking and natural-feeling results, surgeons are rethinking traditional implant placement. One of the biggest developments highlighted in the article is the renewed interest in over-the-muscle breast augmentation, particularly subfascial breast augmentation, where implants are placed above the chest muscle and beneath the fascia.

This approach may help reduce issues associated with under-the-muscle placement, including:

• Animation deformity
• Implant movement during exercise
• Chest muscle discomfort
• A less natural feel in motion

How Modern Breast Augmentation Has Changed

According to the article, recent improvements in implant technology, surgical technique, and internal support materials have helped modernize breast augmentation.

These advances include:

• Highly cohesive silicone gel implants that better hold shape and resist rippling
• Subfascial placement techniques that support more natural movement
• Soft tissue scaffolds or “internal bra” materials that help support implants during healing
• More individualized planning based on anatomy, lifestyle, and long-term goals

Dr. Gould notes that newer data suggests subfascial breast augmentation may offer meaningful advantages for selected patients, though long-term comparative studies remain important.

A More Natural Aesthetic

Another key theme in the article is the shift away from oversized implants and toward subtle, proportionate breast enhancement.

Many patients now want breasts that:

• Fit their frame
• Move naturally
• Provide upper-pole fullness without looking exaggerated
• Feel like a refined enhancement rather than an obvious augmentation

This modern approach prioritizes balance, comfort, and tissue preservation.

Personalized Breast Implant Planning

The article also emphasizes that there is no one-size-fits-all breast augmentation technique. The best implant position depends on factors such as:

• Skin thickness
• Breast tissue coverage
• Activity level
• Implant size goals
• Risk tolerance for complications over time

Dr. Gould explains that the discussion should focus on what best fits the patient’s anatomy and lifestyle rather than relying on older conventions alone.